Individual
KATRINA LYNNE MORACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 COLLEGE DRIVE, HATTIESBURG, MS 39406
(601) 334-1192
Mailing address
124 STUART DR, VIDALIA, LA 71373-3706
(601) 334-1192
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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